AbsoluteCare

Chief Medical Officer, Medical Group

Location: Remote with travel to Corporate (Columbia, MD) and different markets.

Reports To: Chief Medical and Transformation Officer

FLSA Status: Exempt

Employment Type: Full-Time

Position Summary:

The Chief Medical Officer (CMO) serves as a senior clinical leader of a financially at-risk value based medical group, responsible for overseeing all medical and behavioral health providers; ensuring the delivery of high-quality, cost-effective, and patient-centered care. This role is pivotal in aligning provider influenced clinical operations with value-based care objectives, improving health outcomes, and managing total cost of care.

Key Responsibilities:

Clinical Leadership & Oversight

- Provides strategic direction and clinical oversight to all physicians, advanced practice providers, and clinical staff.
- Ensure adherence to AbsoluteCare clinical pathways, evidence-based clinical guidelines and best practices.
- Lead and set the culture of accountability for provider performance evaluations and review processes.

Quality & Outcomes Management

- Help develop and implement quality improvement initiatives to enhance patient outcomes and satisfaction.
- Monitor and report on key performance indicators (KPIs) including cost of care, HEDIS, STAR ratings, and clinical documentation excellence risk adjustment metrics.
- Drive initiatives to reduce unnecessary cost (referrals, testing), hospital admissions, readmissions, and emergency department utilization.

Utilization & Cost Management

- Collaborate with finance and operations teams to manage medical cost trends, operational overhead cost trends, productivity, and ensure financial sustainability.
- Oversee provider practice patterns and how this directly impacts utilization management, care coordination, population health strategies, and productivity.
- Support appropriate accurate documentation and coding opportunities.

Clinical Pathway Adherence

- Ensure adherence to clinical pathways and protocols to standardize care delivery that directly impact clinical outcomes and total cost of care (affordability).
- Monitor and evaluate clinical pathway outcomes and make necessary adjustments.

Provider Recruitment, Retention, Engagement & Development

- Continue to build a highly engaged provider group

- Address provider concerns and support professional growth, satisfaction, and retention.

-Foster a culture of accountability, collaboration, and continuous improvement among providers.
- Lead educational sessions, case reviews, and clinical forums to support provider development.

Population Health & Utilization Management

- Develop and implement population health management strategies to achieve cost savings goals.
- Monitor population health, utilization metrics and outcomes to drive continuous improvement.

Patient Engagement

- Develop strategies to enhance patient engagement and satisfaction.
- Implement patient-centered care models and shared decision-making practices.

Compliance & Risk Management

- Ensure compliance with all regulatory, legal, and accreditation standards.
- Participate in audits, corrective action plans, and risk mitigation strategies.

Qualifications:

- MD or DO degree from an accredited institution.
- Board certification Internal Medicine, Family Medicine or relevant specialty.
- Active and unrestricted medical license.
- Minimum 5 years (> 5 years preferred) of successful experience leading providers within a multi-state at-risk value based primary care medical group. Center based and community based preferred.
- Experience and successful track record with value-based care, managed care, or leading  an at-risk provider organization.
- Strong understanding of provider influenced interventions that improve total cost of care, quality metrics and population health.

Preferred Skills:

- Proven ability to lead multidisciplinary teams and drive performance improvement.
- Excellent communication, negotiation, and interpersonal skills.
- Proficiency in data analysis, EMR systems, and clinical reporting.
- Experience in at-risk medical groups within Medicaid, Dual or ACOs